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Prior Authorization Coordinator

APDerm

APDerm is seeking a Prior Authorization Coordinator to support medication and procedure prior authorization processes, including prescription refills. This role works under the general supervision of the Clinical Call Center Manager and involves coordinating with patients, providers, specialists, and insurance companies to obtain timely authorization approvals and maintain accurate documentation in patient records.

The position is primarily remote, but candidates must reside in Massachusetts, New Hampshire, Rhode Island, or Connecticut.

Requirements & Qualifications

Qualifications

  • High school diploma or GED required
  • Current Certified Medical Assistant certificate preferred
  • Certified and licensed pharmacy technician preferred

Skills and abilities

  • Knowledge of online authorization systems and status review
  • Strong computer skills for entering and retrieving clinical information
  • Ability to track in-process authorizations from multiple sources
  • Knowledge of medical terminology
  • Strong customer service and interpersonal communication skills
  • Ability to work efficiently with minimal supervision and exercise independent judgment
  • Excellent attention to detail, organization, and prioritization skills
  • Ability to multitask, learn new skills, and adapt to change
  • Ability to maintain confidentiality and comply with medical record privacy requirements
Benefits & Perks

Benefits

  • Medical plans with HMO or PPO options
  • Dental plan
  • Healthcare Savings Account (HSA)
  • 401(k) plan with generous match
  • Employee Assistance Plan
  • Short-term disability, accident, cancer indemnity, and life insurance options through AFLAC

Location

Massachusetts, US

Employment Type

Full-time

Experience Level

Entry Level

Remote work allowed

Yes

Posted

4 weeks ago

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